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Root Cause Analysis in the
         Department of Defense

                     February 10th, 2011


David J. Nicholls
David.Nicholls@osd.mil




                                           0
Acronyms
SME – subject matter expert

SEP – systems engineering plan

DAES – Defense Acquisition Executive Summary

PARCA – Performance Assessments and Root Cause
 Analyses

WSARA – Weapon System Acquisition Reform Act

MGB – Milestone B

                                                  1
PARCA Introduction
PARCA’s institutional role
 – Provides USD(AT&L) execution-phase situational
   awareness of major defense acquisition programs
 – Performs forensics for troubled programs
 – Reports activities annually to the four defense committees
Three functions of PARCA office
 – “Performance Assessment”; function in statute
 – “Root Cause Analysis”; function in statute
 – “EVMS”; function not in statute




                                                                2
PARCA Does NOT . . .

Forecast program requirements
 – Funding requirements
 – Total Life Cycle Cost
Evaluate alternative means to execute
 – Acquisition strategies
 – Contracting terms / incentives
Compare alternative means to achieve an end
 – Evaluations of alternate approaches
 – Cost-effectiveness

             Necessary for independence

                                          3
Overview


PARCA root cause analysis

Progress so far

Areas to pursue




                             4
Root Cause Analysis Functions
Statutory duties defined in WSARA 09
 – Conduct root cause analyses for major defense
   acquisition programs
    As part of the Nunn-McCurdy breach certification process
    When requested by designated officials.
 – Issue policies, procedures, and guidance governing
   the conduct of root cause analyses.
Identification of lessons learned for the
 benefit of acquisition community



                                                                5
Analytical Framework
                Unrealistic
                performance
                expectations
 Unrealistic cost                        M
                                         a
 or schedule      Inadequate risk        n
 estimates        assessment             a      Cost,
                                         g      schedule and
  Any other                              e
  matters        Unanticipated           m      performance
                                         e      impact
                 technological or        n
                 manufacturing issues    t
  Quantity
  change           Funding instability
                   or inadequacy


Problems will occur: why they occur and our response
       are crucial issues for root cause analysis
                                                          6
RCA Operations

PARCA deliberately Analytical Steps
 limited in organic
                      Initial Investigation
 resources
Depends on other       Fact Finding
 OSD organizations for
                            Analysis
 functional expertise
Depends on FFRDCs             Products
 and academia for
 analytical support
                                              7
Initial Investigation
Define the cost and/or
 schedule growth
Gather documentation
 – Program content and
   guidance
 – Acquisition documents
 – General background
Program chronology
Change analysis
Prepare for fact finding
            Define the problem
                                           8
Fact Finding
    Interviews
     – Program Office and Contractors
     – Organizations providing functional
       support to program
    Analysis of performance
     reporting data
     – EVMS
     – Cost reporting
     – Performance metrics
    Program documentation,
     studies, reports
Comprehend perspectives
                                            9
Analysis

Exact analytical methods
 are case dependent
Blend of quantitative and
                                     Product
 qualitative (but fact based)
 methodologies
                                  Programmatic
Decision-maker concerns
 – Actionability
                                Acquisition System
 – Exogenous vs endogenous
 – Effectiveness
       Develop and evaluate hypotheses
                                                     10
Products

One-page memorandum for Nunn-McCurdy
 certification process
 – Describes breach and its root causes
 – Supporting document in the program certification package
   sent to Congress
 – Briefing summarizing results
Lessons for acquisition community
 – Reports
 – Analytical tools
Contribution for PARCA’s annual report to
 Congress
                                                              11
Overview


PARCA root cause analysis

Progress so far

Areas to pursue




                             12
Root Cause Analyses in 2010

 Performed six root cause analyses as
  part of Nunn-McCurdy breach process
  – F-35                  – RMS
  – DDG-1000              – Apache Block III
  – ATIRCM/CMWS           – WGS
 Seven root cause analyses are ongoing
  – Some “on request”
  – Variety of programs

Expect about 20 root cause analyses per year
                                               13
PreliminaryTrends
Inception Issues
Unrealistic cost or schedule estimates    X        X       X   X X X
Immature technology, excessive
manufacturing, integration risk                        X
Unrealistic performance expectations                   X
Execution issues
Changes in procurement quantity               X X X        X X X
Inadequate funding/ funding instability
Unanticipated design, engineering,
manufacturing or technology issues             X       X           X
Other                                          X                       X
Poor Performance                          X                X   X X

                                                                           14
Observations

Inception Issues
Unrealistic cost or schedule estimates   X   X       X   X X X
Immature technology, excessive
manufacturing, integration risk                  X
Unrealistic performance expectations             X

Most likely problem “to be discovered” by program
 is an unrealistic cost or schedule estimate
Other factors are apparently not common or
 perhaps need better tools to detect
       Problems to be discovered in execution
                                                             15
Observations
Execution issues
Changes in procurement quantity           X X X       X X X
Inadequate funding/ funding instability
Unanticipated design, engineering,
manufacturing or technology issues         X      X           X
Other                                      X                      X
Quantity changes a common factor but usually
 accompanied by (or caused by) other factors
Programs likely to encounter the unexpected
Suprisingly, funding has not been a major factor
 Quantity change as a cause must be questioned
                                                                      16
Assessing Management
 An important evaluation
  – Assessed to be a significant factor in
    several cases
  – Area for “actionable” root causes        M
                                             a
 A difficult area to evaluate               n
                                             a
  – Quantitative impact of poor mgt?         g       Cost, and
                                             e       schedule
  – Likely contentious                       m
                                                     impact
                                             e
 Approach is to evaluate pieces             n
                                             t
  – Defining system and interfaces
  – Appropriate contracting strategy
  – Maintaining situational awareness
Key evaluation that includes contractor, PMO, and governance

                                                            17
Defining Systems & Interfaces

Complex process which demands SME input
 Poorly developed or defined            Insufficient or incomplete SEP
  requirements                           Lack of a well developed Integrated
 Undefined dependencies                  Master Schedule (IMS)
 Insufficient interoperability          Program Office defaults
  planning                                control/responsibility to contractor
 Requirements instability               Reliance on schedule over
 Lack of stakeholder involvement         performance
 Poorly developed or under              Poor integration test planning
  specified MS exit/entrance criteria    Lack of integrated planning

Two key questions
  – Does Government know what it wants/able to define it ?
  – Is schedule based upon engineering realities?

                                                                             18
Effective Contracting Strategy

Two elements
 – Blocking and tackling
 – Incentive strategy effectiveness
Incentive evaluation
 – Aligned with program goals
   and challenges
 – Demanding yet achievable
 – Sufficient to motivate
 – No perverse effects
 – Consistent with overall
   incentives
 – Signal sent and received

                                             19
Situational Awareness

Tailored metrics
 – Relevant metrics e.g. identification AND tracking of “bets”
 – Effective metrics e.g. avoiding integration effects
Earned Value Management
 – Compliance
 – Effectiveness                          PA    Situational
                                                awareness
Integrated with PARCA’s
 program assessments                           Tailored    RCA
 – Semi-annual, statutory reviews after        concerns
   critical Nunn-McCurdy breach
 – As part of DAES process

                                                                 20
Overview


PARCA root cause analysis

Progress so far

Areas to pursue




                             21
Ongoing Development

Analytical methodologies
 – Impact of funding constraints in
   development
 – Evaluation of incentive strategies
 – Systems engineering assessment
 – EV metrics and data presentation
Relationships
 – SME sources for specific issues
 – Knowledge-sharing of analytical approaches e.g. UK MoD
 – Effective use of root cause analysis results
 – Effective mechanisms for sharing lessons for benefit of
   acquisition community
                                                         22
Policies, Procedures,
                      and Guidance
State of play
 –WSARA 09 requires PARCA to address
 – Virtually no current guidance for root cause analysis
 – Other organizations have done some root cause analysis
 – Key questions exist e.g. is it enough to say that estimate was
   unrealistic (WSARA 09 category) or should we ask why?

Three different purposes
 – Documentation of PARCA processes
 – Service conduct of root cause analyses
 – Program Office conduct of root cause analyses
       Documentation of organizational lessons
                                                               23
Concluding Thoughts

Independence
Analysis transparently based on facts
Clear and accurate definition of the
 predominant issues
 – Actionable
 – Relevant trends
Timely results


 A commitment to not repeating mistakes
                                          24

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Nichols.david

  • 1. Root Cause Analysis in the Department of Defense February 10th, 2011 David J. Nicholls David.Nicholls@osd.mil 0
  • 2. Acronyms SME – subject matter expert SEP – systems engineering plan DAES – Defense Acquisition Executive Summary PARCA – Performance Assessments and Root Cause Analyses WSARA – Weapon System Acquisition Reform Act MGB – Milestone B 1
  • 3. PARCA Introduction PARCA’s institutional role – Provides USD(AT&L) execution-phase situational awareness of major defense acquisition programs – Performs forensics for troubled programs – Reports activities annually to the four defense committees Three functions of PARCA office – “Performance Assessment”; function in statute – “Root Cause Analysis”; function in statute – “EVMS”; function not in statute 2
  • 4. PARCA Does NOT . . . Forecast program requirements – Funding requirements – Total Life Cycle Cost Evaluate alternative means to execute – Acquisition strategies – Contracting terms / incentives Compare alternative means to achieve an end – Evaluations of alternate approaches – Cost-effectiveness Necessary for independence 3
  • 5. Overview PARCA root cause analysis Progress so far Areas to pursue 4
  • 6. Root Cause Analysis Functions Statutory duties defined in WSARA 09 – Conduct root cause analyses for major defense acquisition programs  As part of the Nunn-McCurdy breach certification process  When requested by designated officials. – Issue policies, procedures, and guidance governing the conduct of root cause analyses. Identification of lessons learned for the benefit of acquisition community 5
  • 7. Analytical Framework Unrealistic performance expectations Unrealistic cost M a or schedule Inadequate risk n estimates assessment a Cost, g schedule and Any other e matters Unanticipated m performance e impact technological or n manufacturing issues t Quantity change Funding instability or inadequacy Problems will occur: why they occur and our response are crucial issues for root cause analysis 6
  • 8. RCA Operations PARCA deliberately Analytical Steps limited in organic Initial Investigation resources Depends on other Fact Finding OSD organizations for Analysis functional expertise Depends on FFRDCs Products and academia for analytical support 7
  • 9. Initial Investigation Define the cost and/or schedule growth Gather documentation – Program content and guidance – Acquisition documents – General background Program chronology Change analysis Prepare for fact finding Define the problem 8
  • 10. Fact Finding Interviews – Program Office and Contractors – Organizations providing functional support to program Analysis of performance reporting data – EVMS – Cost reporting – Performance metrics Program documentation, studies, reports Comprehend perspectives 9
  • 11. Analysis Exact analytical methods are case dependent Blend of quantitative and Product qualitative (but fact based) methodologies Programmatic Decision-maker concerns – Actionability Acquisition System – Exogenous vs endogenous – Effectiveness Develop and evaluate hypotheses 10
  • 12. Products One-page memorandum for Nunn-McCurdy certification process – Describes breach and its root causes – Supporting document in the program certification package sent to Congress – Briefing summarizing results Lessons for acquisition community – Reports – Analytical tools Contribution for PARCA’s annual report to Congress 11
  • 13. Overview PARCA root cause analysis Progress so far Areas to pursue 12
  • 14. Root Cause Analyses in 2010 Performed six root cause analyses as part of Nunn-McCurdy breach process – F-35 – RMS – DDG-1000 – Apache Block III – ATIRCM/CMWS – WGS Seven root cause analyses are ongoing – Some “on request” – Variety of programs Expect about 20 root cause analyses per year 13
  • 15. PreliminaryTrends Inception Issues Unrealistic cost or schedule estimates X X X X X X Immature technology, excessive manufacturing, integration risk X Unrealistic performance expectations X Execution issues Changes in procurement quantity X X X X X X Inadequate funding/ funding instability Unanticipated design, engineering, manufacturing or technology issues X X X Other X X Poor Performance X X X X 14
  • 16. Observations Inception Issues Unrealistic cost or schedule estimates X X X X X X Immature technology, excessive manufacturing, integration risk X Unrealistic performance expectations X Most likely problem “to be discovered” by program is an unrealistic cost or schedule estimate Other factors are apparently not common or perhaps need better tools to detect Problems to be discovered in execution 15
  • 17. Observations Execution issues Changes in procurement quantity X X X X X X Inadequate funding/ funding instability Unanticipated design, engineering, manufacturing or technology issues X X X Other X X Quantity changes a common factor but usually accompanied by (or caused by) other factors Programs likely to encounter the unexpected Suprisingly, funding has not been a major factor Quantity change as a cause must be questioned 16
  • 18. Assessing Management An important evaluation – Assessed to be a significant factor in several cases – Area for “actionable” root causes M a A difficult area to evaluate n a – Quantitative impact of poor mgt? g Cost, and e schedule – Likely contentious m impact e Approach is to evaluate pieces n t – Defining system and interfaces – Appropriate contracting strategy – Maintaining situational awareness Key evaluation that includes contractor, PMO, and governance 17
  • 19. Defining Systems & Interfaces Complex process which demands SME input  Poorly developed or defined  Insufficient or incomplete SEP requirements  Lack of a well developed Integrated  Undefined dependencies Master Schedule (IMS)  Insufficient interoperability  Program Office defaults planning control/responsibility to contractor  Requirements instability  Reliance on schedule over  Lack of stakeholder involvement performance  Poorly developed or under  Poor integration test planning specified MS exit/entrance criteria  Lack of integrated planning Two key questions – Does Government know what it wants/able to define it ? – Is schedule based upon engineering realities? 18
  • 20. Effective Contracting Strategy Two elements – Blocking and tackling – Incentive strategy effectiveness Incentive evaluation – Aligned with program goals and challenges – Demanding yet achievable – Sufficient to motivate – No perverse effects – Consistent with overall incentives – Signal sent and received 19
  • 21. Situational Awareness Tailored metrics – Relevant metrics e.g. identification AND tracking of “bets” – Effective metrics e.g. avoiding integration effects Earned Value Management – Compliance – Effectiveness PA Situational awareness Integrated with PARCA’s program assessments Tailored RCA – Semi-annual, statutory reviews after concerns critical Nunn-McCurdy breach – As part of DAES process 20
  • 22. Overview PARCA root cause analysis Progress so far Areas to pursue 21
  • 23. Ongoing Development Analytical methodologies – Impact of funding constraints in development – Evaluation of incentive strategies – Systems engineering assessment – EV metrics and data presentation Relationships – SME sources for specific issues – Knowledge-sharing of analytical approaches e.g. UK MoD – Effective use of root cause analysis results – Effective mechanisms for sharing lessons for benefit of acquisition community 22
  • 24. Policies, Procedures, and Guidance State of play –WSARA 09 requires PARCA to address – Virtually no current guidance for root cause analysis – Other organizations have done some root cause analysis – Key questions exist e.g. is it enough to say that estimate was unrealistic (WSARA 09 category) or should we ask why? Three different purposes – Documentation of PARCA processes – Service conduct of root cause analyses – Program Office conduct of root cause analyses Documentation of organizational lessons 23
  • 25. Concluding Thoughts Independence Analysis transparently based on facts Clear and accurate definition of the predominant issues – Actionable – Relevant trends Timely results A commitment to not repeating mistakes 24